D & W Supreme Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

D & W SUPREME TRANSPORTATION LLC

Practice address

9291 Morning Park Dr
Cordova, TN 38016-4780

Phone

(501) 908-2534

NPI assigned

Apr 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Wynne Mason Jr.

Title

Owner

Phone

(501) 908-2534

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1780437400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 MORNING PARK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164780",
            "telephone_number": "501-908-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 MORNING PARK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164780",
            "telephone_number": "501-908-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & W SUPREME TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-908-2534",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Cordova, TN
• Providers in Cordova, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.